HomeMy WebLinkAboutPermit Electrical 1998-3-27
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,,-,ELECTRICAL PERMIT APPLICATION
~ City Job Number 0/\ \ ~o~l 0
(
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
COMPLETE FEE SCHEDULE BELOY
3.
~
unit. ~
Cost 'sum
1. LOCATION OF INSTALLATION
.(j 1 '7?\ Mbl"" <:;;ti2.~T
Nev Residential-Single or
Multi-Family per dvelling
Seevice Included:
A.
~~\~\
Items
$ 85.00
1000 sq,ft, or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dvelling
Service or Feeder
JOB DESCRIPTION
IAC1J ~E.l.L l.\'Z......! ~ \'\1t>.\K
$ 15.00
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance oe if voek is suspended f~r
180 days, ''b),.
~ '1.1
2. CONTRACTOR INSTALLATION ONLY 17{/J: v.s>"o<<::~, Services or Feeders
~Q 'YQL:L ~~. Installation, Alterations
Electrical Contractor \=;.,QP_c..<..~~.~ VrlSl or Relocation:
? ~'(<'<' ~
Address '2:>ozss- \-\\1\'t 34 O'o^ v~/\ {/1e;>. ~<'..9.o amps or less
;. -of;... 9sl,_ ~-9 ~ amps to 400 amps
City ~L~~\..l\"( OR_ Phone 54.1 ~~-~ar~ ~I~~~S to. 600 amps
_ :ib. ~t~ a to 1000 amps
Supervisor License Number 30';)SIC, Z? ~~.e~~jm ~ps/volts
~ri~t,,~lY
Expiration Date 10/' /~<j ~~ U'~ ~
C. Tempo~ry~rvices or Feeders
O~ 49~\ Installation, Alteration or Relocation
2 /'?-..../OO
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Constr Conte, Number
$ 40.00
$ 55.00
$ 80.00
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Expiration J)/lte
Elec trician
,~uPK:~ng
Signa I
"B"
above
volts see
Branch Circuits
D.
.'
'Ovners Name 'B1Z..ol'> t. i2r.\!.U' M\U."'"
Address 84(~ \o.\,,~ '~ c;;.~,
Ci ty s.W\w:..~I",'1'>_Phone ?2.Io-BIo'l.-t)
OYNER INSTALLATION
Nev, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting,~ $ 40.00 120
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE 1'2..0,()(?
5%' State Surcharge t? ,00
3% Administrative Fee ~
TOTAL I~~ C,O
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
.-....-
~AT~~----------1)~~~-~Y)--------------
RECEIPT 1I: f\ri~^, \1, /
RECEIVED BY: U~ \}\.)\5y